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General NPI Number Information
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NPI Number | 1780632992
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Entity Type | Organization
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Legal Business Name | SAINT BARNABAS MULTI SPECIALTY
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5690
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Fax | 973-322-5504
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Provider Business Mailing Address
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Address Line | PO BOX 18340
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City | NEWARK
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State | NJ
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Zip | 07191-8340
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Country | US
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Telephone | 866-295-0041
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Fax | 732-557-7109
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PATRICK AHEARN
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Credential |
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Telephone | 732-557-7119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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